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Heart Disease and Stroke

Baseline: 129.2 coronary heart disease deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)
Target: 103.4 deaths per 100,000 population
Target-Setting Method: Projection/trend analysis
Data Source: National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Population Estimates, Census
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Baseline: 43.5 stroke deaths per 100,000 population occurred in 2007 (age adjusted to the year 2000 standard population)
Target: 34.8 deaths per 100,000 population
Target-Setting Method: Projection/trend analysis
Data Source: National Vital Statistics System-Mortality (NVSS-M), CDC/NCHS; Population Estimates, Census
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Baseline: 90.6 percent of adults aged 18 years and older had their blood pressure measured within the preceding 2 years and could state their blood pressure in 2008 (age adjusted to the year 2000 standard population)
Target: 92.6 percent
Target-Setting Method: 2 percentage point improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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HDS-5     Reduce the proportion of persons in the population with hypertension
Baseline: 29.9 percent of adults aged 18 years and older had high blood pressure/hypertension in 2005–08 (age adjusted to the year 2000 standard population)
Target: 26.9 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 3.5 percent of children and adolescents aged 8 to 17 years had high blood pressure/hypertension in 2005–08
Target: 3.2 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 74.6 percent of adults aged 18 years and older had their blood cholesterol checked within the preceding 5 years in 2008 (age adjusted to the year 2000 standard population)
Target: 82.1 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 15.0 percent of adults aged 20 years and older had total blood cholesterol levels of 240 mg/dL or greater in 2005–08 (age adjusted to the year 2000 standard population)
Target: 13.5 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 197.7 mg/dl was the mean total blood cholesterol level for adults aged 20 years and older in 2005–08 (age adjusted to the year 2000 standard population)
Target: 177.9 mg/dl (mean)
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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HDS-9     (Developmental) Increase the proportion of adults with prehypertension who meet the recommended guidelines
HDS-10     (Developmental) Increase the proportion of adults with hypertension who meet the recommended guidelines
Baseline: 63.2 percent of adults aged 18 years and older with high blood pressure/hypertension were taking the prescribed medications to lower their blood pressure in 2005–08 (age adjusted to the year 2000 standard population)
Target: 69.5 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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HDS-12     Increase the proportion of adults with hypertension whose blood pressure is under control Leading Health Indicators

Leading Health Indicators are a subset of Healthy People 2020 objectives selected to communicate high-priority health issues.

Baseline: 43.7 percent of adults aged 18 years and older with high blood pressure/hypertension had it under control in 2005–08 (age adjusted to the year 2000 standard population)
Target: 61.2 percent
Target-Setting Method: Projection/trend analysis
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
Data:
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HDS-13     (Developmental) Increase the proportion of adults with elevated LDL cholesterol who have been advised by a health care provider regarding cholesterol-lowering management, including lifestyle changes and, if indicated, medication
HDS-14     (Developmental) Increase the proportion of adults with elevated LDL-cholesterol who adhere to the prescribed LDL-cholesterol lowering management lifestyle changes and, if indicated, medication
HDS-15     (Developmental) Increase aspirin use as recommended among adults with no history of cardiovascular disease
Potential Data Sources: National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS; Population Estimates, Census
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Potential Data Sources: National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS; Population Estimates, Census
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HDS-16     Increase the proportion of adults aged 20 years and older who are aware of the symptoms of and how to respond to a heart attack
Baseline: 37.2 percent of adults aged 20 years and older were aware of the early warning symptoms and signs of a heart attack and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number in 2008 (age adjusted to the year 2000 standard population)
Target: 40.9 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 39.6 percent of adults aged 20 years and older were aware of the early warning symptoms and signs of a heart attack in 2008 (age adjusted to the year 2000 standard population)
Target: 43.6 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
Data:
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Baseline: 91.8 percent of adults aged 20 years and older were aware of the importance of accessing rapid emergency care for a heart attack by calling 9–1–1 or another emergency number in 2008 (age adjusted to the year 2000 standard population)
Target: 93.8 percent
Target-Setting Method: 2 percentage point improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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HDS-17     Increase the proportion of adults aged 20 years and older who are aware of the symptoms of and how to respond to a stroke
Baseline: 51.3 percent of adults aged 20 years and older were aware of the early warning symptoms and signs of a stroke and the importance of accessing rapid emergency care by calling 9–1–1 or another emergency number in 2009 (age adjusted to the year 2000 standard population)
Target: 56.4 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 53.9 percent of adults aged 20 years and older were aware of the early warning symptoms and signs of a stroke in 2009 (age adjusted to the year 2000 standard population)
Target: 59.3 percent
Target-Setting Method: 10 percent improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 92.7 percent of adults aged 20 years and older were aware of the importance of accessing rapid emergency care for a stroke by calling 9–1–1 or another emergency number in 2009 (age adjusted to the year 2000 standard population)
Target: 94.7 percent
Target-Setting Method: 2 percentage point improvement
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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HDS-19     Increase the proportion of eligible patients with heart attacks or strokes who receive timely artery-opening therapy as specified by current guidelines
Baseline: 68.3 percent of eligible heart attack patients received fibrinolytic therapy within 30 minutes of hospital arrival in 2009
Target: 75.1 percent
Target-Setting Method: 10 percent improvement
Data Source: Acute Coronary Treatment and Intervention Outcomes Network Registry-Get with the Guidelines (ACTION-GWTG), American College of Cardiology (ACC)
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Baseline: 88.6 percent of eligible heart attack patients received percutaneous intervention within 90 minutes of hospital arrival in 2009
Target: 97.5 percent
Target-Setting Method: 10 percent improvement
Data Source: Acute Coronary Treatment and Intervention Outcomes Network Registry-Get with the Guidelines (ACTION-GWTG), American College of Cardiology (ACC)
Data:
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HDS-20     (Developmental) Increase the proportion of adults with coronary heart disease or stroke who have their low-density lipoprotein (LDL) cholesterol level at or below recommended levels
HDS-24     Reduce hospitalizations of older adults with heart failure as the principal diagnosis.
Baseline: 9.8 hospitalizations for heart failure per 1,000 population aged 65 to 74 years occurred in 2007
Target: 8.8 hospitalizations per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: Chronic Condition Data Warehouse (CCW), CMS
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Baseline: 22.4 hospitalizations for heart failure per 1,000 population aged 75 to 84 years occurred in 2007
Target: 20.2 hospitalizations per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: Chronic Condition Data Warehouse (CCW), CMS
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Baseline: 42.9 hospitalizations for heart failure per 1,000 population aged 85 years and older occurred in 2007
Target: 38.6 hospitalizations per 1,000 population
Target-Setting Method: 10 percent improvement
Data Source: Chronic Condition Data Warehouse (CCW), CMS
Data:
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